NADEAR A ELMAHI MD
NPI 1639278799
Internal Medicine in Dallas, TX

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
12221 MERIT DR, STE 1500, DALLAS, TX 75251(214) 217-1900(214) 217-1912 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 1, 2021, Apr 22, 2020, Mar 23, 2017 (3 updates tracked since 2017).

About Nadear A Elmahi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NADEAR A ELMAHI MD (NPI 1639278799) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (N3631) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with White Rock Medical Center, and maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1639278799
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNADEAR A ELMAHICredential: MD
Location Address12221 MERIT DR, STE 1500Dallas, TX 75251
Mailing Address12221 Merit Dr, Ste 1500Dallas, TX 75251 · (214) 217-1900 · Fax (214) 217-1912
Fax(214) 217-1912
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJanuary 11, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2024
✔ NPI 1639278799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · N3631
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 72584 (WI)
Also ListedHospitalistTaxonomy 208M00000X · License 72584 (WI)
12221 MERIT DR, Dallas, TX 75251

Secondary Practice Location 1

Location 1515 22nd AveMonroe, WI 53566-1569 · Phone (608) 324-1000

Other Identifiers 2

Other143UGNC · Blue Cross Blue Shield
Medicaid5905084NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nadear A Elmahi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426059106
PECOS Enrollment IDI20140718001674, I20251208003920
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
725 services112 patients
Administration and interpretation of caregiver-focused health risk assessment 96161
This process involves a thorough evaluation of a caregiver's health risks. It's designed to identify potential health issues that may impact their ability to care for others. The results are then interpreted to formulate a personalized health improvement plan.
725 services112 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
720 services110 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
641 services109 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
462 services96 patients
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506
This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.
460 services97 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

White Rock Medical Center

Acute Care Hospitals · Dallas, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450678
Location9440 Poppy DriveDallas, TX 75218 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75251 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%24 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
12221 MERIT DR, SUITE 1500
DALLAS, TX 75251
Emergency Medicine
12221 MERIT DR, SUITE 1500
DALLAS, TX 75251
Physician Assistant
12221 MERIT DR, STE. 1610
DALLAS, TX 75251
Emergency Medicine
12221 MERIT DR, #1500
DALLAS, TX 75251
Physician Assistant
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251
Physician Assistant
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251
Internal Medicine
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251
Emergency Medicine
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nadear Elmahi's NPI number?

The NPI number for Nadear Elmahi is 1639278799. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Nadear Elmahi located?

Nadear Elmahi practices at 12221 Merit Dr Ste 1500, Dallas, TX 75251. The listed phone number is (214) 217-1900.

What is Nadear Elmahi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nadear Elmahi enrolled in Medicare?

Yes. Nadear Elmahi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nadear Elmahi accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource (Common Ground Healthcare) and Molina Healthcare list Nadear Elmahi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nadear Elmahi affiliated with any hospitals?

According to CMS data, Nadear Elmahi is affiliated with White Rock Medical Center.

When was this NPI record last updated?

The NPPES record for Nadear Elmahi was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.